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      Quiste epidérmico iatrogénico en región parotídea: una complicación inusual tras cirugía otológica Translated title: Iatrogenic epidermal cyst in the parotid region: a rare complication of otologic surgery

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          Abstract

          Resumen Los quistes epidérmicos son lesiones frecuentes en la piel, sin embargo, su presencia dentro de las glándulas salivares es rara, como reflejan los pocos casos encontrados en la literatura. El origen es la implantación iatrogénica de tejido epitelial en la glándula y deben considerarse en el diagnóstico diferencial cuando un paciente presenta una tumoración en esta zona con un antecedente quirúrgico otológico previo. Presentamos el caso clínico de una mujer intervenida por lesión parotídea con diagnóstico anatomopatológico de quiste epidermoide intraparotídeo. Entre sus antecedentes personales, había sido intervenida de timpanoplastia ipsilateral en la infancia, considerando que fue esta la causa de la lesión. Destacamos la rareza de la presentación de la lesión, la consideración de los quistes epidérmicos como complicación de la cirugía otológica, aunque sea infrecuente, y su importancia en el diagnóstico diferencial de las lesiones tumorales de parótida.

          Translated abstract

          Epidermal cysts are common skin lesions, however the presence of epidermal cysts within the salivary glands is rare as well as reflect the few cases reported in the literature. Its origin is the iatrogenic implantation of epithelial tissue in the gland and it should be considered as a differential diagnosis when a patient presents a tumor in the parotid region with previous history of otologic surgery. We report a case of a woman operated of a parotid lesion with histopathological diagnosis of intraparotid epidermoid cyst. In her personal clinical history, she has been operated for ipsilateral tympanoplasty in childhood, being considered this the cause of the lesion. Our aim is to emphasize the rarity of the presentation of the pathology, the consideration of epidermal cysts as a complication in otologic surgery, although uncommon, and its importance as a differential diagnosis in tumor lesions of the parotid gland.

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          Most cited references13

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          A Rare Case of an Epidermoid Cyst in the Parotid Gland - which was Diagnosed by Fine Needle Aspiration Cytology.

          Cystic lesions are common in the head and neck. The most common are the cutaneous cysts, which are referred to as epidermal cysts. These cysts present as nodular and fluctuant subcutaneous lesions and they are seen most commonly in the acne - prone areas like the head, neck and the back. They arise following a localized inflammation of the hair follicle and occasionally after the implantation of the epithelium, following a trauma or surgery. The presence of benign cystic lesions in the salivary glands is rare.We are presenting a rare case of a 55-year-old male who presented with a soft swelling on the left side of the face. A diagnosis of an epidermoid cyst was given on cytology. A superficial parotidectomy was performed and the histopathology confirmed the above diagnosis.
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            Pathologic basis of disease

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              Epidermal Cyst of Parotid Gland: A Rarity and a Diagnostic Dilemma

              Epidermal cysts are common skin lesions but they occur very rarely in the oral cavity, especially in the salivary glands. Very few cases have been reported in the literature and, here, we present one such rare case of epidermal cyst in the right parotid gland in a 62-year-old female patient.
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                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                December 2018
                : 44
                : 4
                : 437-441
                Affiliations
                [1] Burgos orgnameHospital Universitario de Burgos orgdiv1Servicio de Cirugía Plástica España
                [2] orgnamePráctica privada
                Article
                S0376-78922018000400016 S0376-7892(18)04400400016
                10.4321/s0376-78922018000400016
                c70d6b66-ae56-45ae-a247-880bd653d131

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 21 October 2018
                : 13 September 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 5
                Product

                SciELO Spain

                Categories
                Reconstructiva

                Glándula parótida,Parotid gland,Tympanoplasty,Quiste epidérmico,Glándula salival,Timpanoplastia,Epidermal cyst,Salivary gland

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